Provider Demographics
NPI:1679096507
Name:SAINI, BALPREET KAUR
Entity Type:Individual
Prefix:DR
First Name:BALPREET
Middle Name:KAUR
Last Name:SAINI
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:BALPREET
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1063 SAPPHIRE TER
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1492
Mailing Address - Country:US
Mailing Address - Phone:408-409-7650
Mailing Address - Fax:
Practice Address - Street 1:2402 S 1ST ST STE 108
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98903-1646
Practice Address - Country:US
Practice Address - Phone:509-426-7674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-23
Last Update Date:2017-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE.606477351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice